As a charitable tax exempt 501(c)(3) non-profit, Ecomaniacs requires all volunteers participating in the program to be affiliated with an Internal Revenue Service registered non-profit organization.

* Required

Your Full Name *

Group Leader

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Your Email *

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Your Phone *

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Fundraising Group Name: *

Your answer

Please verify and confirm your organizations status as a Non-profit or relationship with a non-profit to participate in the Ecomaniacs program: *

Yes, we are a non-profit organization and can provide an exemption letter.

No, we are not a non-profit organization, but we are volunteering on behalf of a non-profit organization and can provide their exemption letter. I understand Ecomaniacs will verify that the non-profit organization will handle all funds.

No, we are not a non-profit organization, but our sponsoring organization is a non-profit organization and can provide their exemption letter. I understand Ecomaniacs will verify that the non-profit organization will handle all funds.

Required

Make Checks Out To *

(non-profit organization)

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Mail Checks To *

(Full address of non-profit organization)

Your answer

*

BY CHECKING THIS BOX I VERIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. I FURTHER ACKNOWLEDGE THAT BY CHECKING THIS BOX AND CLICKING “SUBMIT” BELOW I AM CREATING AN ELECTRONIC SIGNATURE AND I UNDERSTAND IT WILL BE BINDING, ENFORCEABLE AND THE LEGAL EQUIVALENT OF A HANDWRITTEN SIGNATURE.